Development partner support to the health sector at the local level in Morogoro region, Tanzania

Gasto M. Frumence, Joy J. Chebet, Jennifer A. Callaghan-Koru, Idda Mosha, Dereck Chitama, Japhet Killewo, Peter John Winch

Research output: Contribution to journalArticle

Abstract

Background: The Tanzanian health sector receives large amounts of funding from multiple international development partners to support a broad range of population-health interventions. However, little is known about the partners’ level of commitment to sustain funding, and the implications of uncertainties created by these funding mechanisms. This study had the following objectives: 1) To present a theoretical model for assessing funding commitments by health development partners in a specified region; 2) to describe development partner funding commitments against this framework, using a case study example of Morogoro Region, Tanzania; and 3) to discuss policy considerations using this framework for district, regional and national level. Methods: Qualitative case study methodology was used to assess funding commitments of health-related development partners in Morogoro Region, Tanzania. Using qualitative data, collected as part of an evaluation of maternal and child health programs in Morogoro Region, key informants from all development partners were interviewed and thematic analysis was conducted for the assessment. Results: Our findings show that decisions made on where to commit and direct funds were based on recipient government and development partner priorities. These decisions were based on government directives, such as the need to provide health services to vulnerable populations; the need to contribute towards alleviation of disease burden and development partner interests, including humanitarian concerns. Poor coordination of partner organizations and their funding priorities may undermine benefits to target populations. This weakness poses a major challenge on development partner investments in health, leading to duplication of efforts and resulting in stagnant disease burden levels. Conclusion: Effective coordination mechanisms between all stakeholders at each level should be advocated to provide a forum to discuss interests and priorities, so as to harmonize them and facilitate the implementation of development partner funded activities in the recipient countries.

Original languageEnglish (US)
JournalTanzania Journal of Health Research
Volume20
Issue number2
DOIs
StatePublished - Jan 1 2018

Fingerprint

Tanzania
Health
Health Services Needs and Demand
Vulnerable Populations
Financial Management
Uncertainty
Health Services
Theoretical Models
Organizations
Population

Keywords

  • Development partner
  • Funding commitment
  • Health sector
  • Tanzania

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Development partner support to the health sector at the local level in Morogoro region, Tanzania. / Frumence, Gasto M.; Chebet, Joy J.; Callaghan-Koru, Jennifer A.; Mosha, Idda; Chitama, Dereck; Killewo, Japhet; Winch, Peter John.

In: Tanzania Journal of Health Research, Vol. 20, No. 2, 01.01.2018.

Research output: Contribution to journalArticle

Frumence, Gasto M. ; Chebet, Joy J. ; Callaghan-Koru, Jennifer A. ; Mosha, Idda ; Chitama, Dereck ; Killewo, Japhet ; Winch, Peter John. / Development partner support to the health sector at the local level in Morogoro region, Tanzania. In: Tanzania Journal of Health Research. 2018 ; Vol. 20, No. 2.
@article{582de892f5014a0a842b070ece832bba,
title = "Development partner support to the health sector at the local level in Morogoro region, Tanzania",
abstract = "Background: The Tanzanian health sector receives large amounts of funding from multiple international development partners to support a broad range of population-health interventions. However, little is known about the partners’ level of commitment to sustain funding, and the implications of uncertainties created by these funding mechanisms. This study had the following objectives: 1) To present a theoretical model for assessing funding commitments by health development partners in a specified region; 2) to describe development partner funding commitments against this framework, using a case study example of Morogoro Region, Tanzania; and 3) to discuss policy considerations using this framework for district, regional and national level. Methods: Qualitative case study methodology was used to assess funding commitments of health-related development partners in Morogoro Region, Tanzania. Using qualitative data, collected as part of an evaluation of maternal and child health programs in Morogoro Region, key informants from all development partners were interviewed and thematic analysis was conducted for the assessment. Results: Our findings show that decisions made on where to commit and direct funds were based on recipient government and development partner priorities. These decisions were based on government directives, such as the need to provide health services to vulnerable populations; the need to contribute towards alleviation of disease burden and development partner interests, including humanitarian concerns. Poor coordination of partner organizations and their funding priorities may undermine benefits to target populations. This weakness poses a major challenge on development partner investments in health, leading to duplication of efforts and resulting in stagnant disease burden levels. Conclusion: Effective coordination mechanisms between all stakeholders at each level should be advocated to provide a forum to discuss interests and priorities, so as to harmonize them and facilitate the implementation of development partner funded activities in the recipient countries.",
keywords = "Development partner, Funding commitment, Health sector, Tanzania",
author = "Frumence, {Gasto M.} and Chebet, {Joy J.} and Callaghan-Koru, {Jennifer A.} and Idda Mosha and Dereck Chitama and Japhet Killewo and Winch, {Peter John}",
year = "2018",
month = "1",
day = "1",
doi = "10.4314/thrb.v20i2.8",
language = "English (US)",
volume = "20",
journal = "Tanzania Journal of Health Research",
issn = "1821-6404",
publisher = "National Institute for Medical Research",
number = "2",

}

TY - JOUR

T1 - Development partner support to the health sector at the local level in Morogoro region, Tanzania

AU - Frumence, Gasto M.

AU - Chebet, Joy J.

AU - Callaghan-Koru, Jennifer A.

AU - Mosha, Idda

AU - Chitama, Dereck

AU - Killewo, Japhet

AU - Winch, Peter John

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: The Tanzanian health sector receives large amounts of funding from multiple international development partners to support a broad range of population-health interventions. However, little is known about the partners’ level of commitment to sustain funding, and the implications of uncertainties created by these funding mechanisms. This study had the following objectives: 1) To present a theoretical model for assessing funding commitments by health development partners in a specified region; 2) to describe development partner funding commitments against this framework, using a case study example of Morogoro Region, Tanzania; and 3) to discuss policy considerations using this framework for district, regional and national level. Methods: Qualitative case study methodology was used to assess funding commitments of health-related development partners in Morogoro Region, Tanzania. Using qualitative data, collected as part of an evaluation of maternal and child health programs in Morogoro Region, key informants from all development partners were interviewed and thematic analysis was conducted for the assessment. Results: Our findings show that decisions made on where to commit and direct funds were based on recipient government and development partner priorities. These decisions were based on government directives, such as the need to provide health services to vulnerable populations; the need to contribute towards alleviation of disease burden and development partner interests, including humanitarian concerns. Poor coordination of partner organizations and their funding priorities may undermine benefits to target populations. This weakness poses a major challenge on development partner investments in health, leading to duplication of efforts and resulting in stagnant disease burden levels. Conclusion: Effective coordination mechanisms between all stakeholders at each level should be advocated to provide a forum to discuss interests and priorities, so as to harmonize them and facilitate the implementation of development partner funded activities in the recipient countries.

AB - Background: The Tanzanian health sector receives large amounts of funding from multiple international development partners to support a broad range of population-health interventions. However, little is known about the partners’ level of commitment to sustain funding, and the implications of uncertainties created by these funding mechanisms. This study had the following objectives: 1) To present a theoretical model for assessing funding commitments by health development partners in a specified region; 2) to describe development partner funding commitments against this framework, using a case study example of Morogoro Region, Tanzania; and 3) to discuss policy considerations using this framework for district, regional and national level. Methods: Qualitative case study methodology was used to assess funding commitments of health-related development partners in Morogoro Region, Tanzania. Using qualitative data, collected as part of an evaluation of maternal and child health programs in Morogoro Region, key informants from all development partners were interviewed and thematic analysis was conducted for the assessment. Results: Our findings show that decisions made on where to commit and direct funds were based on recipient government and development partner priorities. These decisions were based on government directives, such as the need to provide health services to vulnerable populations; the need to contribute towards alleviation of disease burden and development partner interests, including humanitarian concerns. Poor coordination of partner organizations and their funding priorities may undermine benefits to target populations. This weakness poses a major challenge on development partner investments in health, leading to duplication of efforts and resulting in stagnant disease burden levels. Conclusion: Effective coordination mechanisms between all stakeholders at each level should be advocated to provide a forum to discuss interests and priorities, so as to harmonize them and facilitate the implementation of development partner funded activities in the recipient countries.

KW - Development partner

KW - Funding commitment

KW - Health sector

KW - Tanzania

UR - http://www.scopus.com/inward/record.url?scp=85045375874&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045375874&partnerID=8YFLogxK

U2 - 10.4314/thrb.v20i2.8

DO - 10.4314/thrb.v20i2.8

M3 - Article

VL - 20

JO - Tanzania Journal of Health Research

JF - Tanzania Journal of Health Research

SN - 1821-6404

IS - 2

ER -